Hospital-acquired intestinal toxemia botulism in a newly diagnosed adult colon cancer patient
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista do Instituto de Medicina Tropical de São Paulo |
Texto Completo: | https://www.revistas.usp.br/rimtsp/article/view/162236 |
Resumo: | This manuscript reports a case of intestinal toxemia botulism in an adult with recently diagnosed metastatic colon cancer in whom botulism symptoms began 23 days after hospital admission. Representing the rarest form of botulism presentation in clinical practice, this infectious disease may have developed due to a cluster of predisposing factors that favored Clostridium botulinum colonization and the endogenous production of neurotoxins, among which are previous use of broad-spectrum antibiotics and colon changes related to the development of the neoplasia. This case highlights the importance of considering intestinal toxemia botulism in the differential diagnosis of a patient presenting with symmetrical descending flaccid paralysis, since immediate treatment with botulinum antitoxin may improve clinical outcomes. |
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Hospital-acquired intestinal toxemia botulism in a newly diagnosed adult colon cancer patientAdult intestinal toxemia botulismNeuropathyIntestinal colonizationDiagnosisNeuromuscular junctionSymmetrical descending flaccid paralysisClostridium botulinumThis manuscript reports a case of intestinal toxemia botulism in an adult with recently diagnosed metastatic colon cancer in whom botulism symptoms began 23 days after hospital admission. Representing the rarest form of botulism presentation in clinical practice, this infectious disease may have developed due to a cluster of predisposing factors that favored Clostridium botulinum colonization and the endogenous production of neurotoxins, among which are previous use of broad-spectrum antibiotics and colon changes related to the development of the neoplasia. This case highlights the importance of considering intestinal toxemia botulism in the differential diagnosis of a patient presenting with symmetrical descending flaccid paralysis, since immediate treatment with botulinum antitoxin may improve clinical outcomes.Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo2019-09-13info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/xmlhttps://www.revistas.usp.br/rimtsp/article/view/16223610.1590/s1678-9946201961049Revista do Instituto de Medicina Tropical de São Paulo; Vol. 61 (2019); e49Revista do Instituto de Medicina Tropical de São Paulo; Vol. 61 (2019); e49Revista do Instituto de Medicina Tropical de São Paulo; v. 61 (2019); e491678-99460036-4665reponame:Revista do Instituto de Medicina Tropical de São Pauloinstname:Instituto de Medicina Tropical (IMT)instacron:IMTenghttps://www.revistas.usp.br/rimtsp/article/view/162236/156090https://www.revistas.usp.br/rimtsp/article/view/162236/156091Copyright (c) 2019 Revista do Instituto de Medicina Tropical de São Pauloinfo:eu-repo/semantics/openAccessFonseca, Lucas José Sá daCarvalho, Diogo Couto deMoraes, Helena Providelli deFeitosa, Izabela Dayany FrançaPereira Neto, GilVilela, Rodrigo VasconcellosFernandes, Breno Franco SilveiraGomez, Rodrigo SantiagoNobre, Vandack2019-09-13T17:13:42Zoai:revistas.usp.br:article/162236Revistahttp://www.revistas.usp.br/rimtsp/indexPUBhttps://www.revistas.usp.br/rimtsp/oai||revimtsp@usp.br1678-99460036-4665opendoar:2022-12-13T16:52:49.433224Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT)true |
dc.title.none.fl_str_mv |
Hospital-acquired intestinal toxemia botulism in a newly diagnosed adult colon cancer patient |
title |
Hospital-acquired intestinal toxemia botulism in a newly diagnosed adult colon cancer patient |
spellingShingle |
Hospital-acquired intestinal toxemia botulism in a newly diagnosed adult colon cancer patient Fonseca, Lucas José Sá da Adult intestinal toxemia botulism Neuropathy Intestinal colonization Diagnosis Neuromuscular junction Symmetrical descending flaccid paralysis Clostridium botulinum |
title_short |
Hospital-acquired intestinal toxemia botulism in a newly diagnosed adult colon cancer patient |
title_full |
Hospital-acquired intestinal toxemia botulism in a newly diagnosed adult colon cancer patient |
title_fullStr |
Hospital-acquired intestinal toxemia botulism in a newly diagnosed adult colon cancer patient |
title_full_unstemmed |
Hospital-acquired intestinal toxemia botulism in a newly diagnosed adult colon cancer patient |
title_sort |
Hospital-acquired intestinal toxemia botulism in a newly diagnosed adult colon cancer patient |
author |
Fonseca, Lucas José Sá da |
author_facet |
Fonseca, Lucas José Sá da Carvalho, Diogo Couto de Moraes, Helena Providelli de Feitosa, Izabela Dayany França Pereira Neto, Gil Vilela, Rodrigo Vasconcellos Fernandes, Breno Franco Silveira Gomez, Rodrigo Santiago Nobre, Vandack |
author_role |
author |
author2 |
Carvalho, Diogo Couto de Moraes, Helena Providelli de Feitosa, Izabela Dayany França Pereira Neto, Gil Vilela, Rodrigo Vasconcellos Fernandes, Breno Franco Silveira Gomez, Rodrigo Santiago Nobre, Vandack |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Fonseca, Lucas José Sá da Carvalho, Diogo Couto de Moraes, Helena Providelli de Feitosa, Izabela Dayany França Pereira Neto, Gil Vilela, Rodrigo Vasconcellos Fernandes, Breno Franco Silveira Gomez, Rodrigo Santiago Nobre, Vandack |
dc.subject.por.fl_str_mv |
Adult intestinal toxemia botulism Neuropathy Intestinal colonization Diagnosis Neuromuscular junction Symmetrical descending flaccid paralysis Clostridium botulinum |
topic |
Adult intestinal toxemia botulism Neuropathy Intestinal colonization Diagnosis Neuromuscular junction Symmetrical descending flaccid paralysis Clostridium botulinum |
description |
This manuscript reports a case of intestinal toxemia botulism in an adult with recently diagnosed metastatic colon cancer in whom botulism symptoms began 23 days after hospital admission. Representing the rarest form of botulism presentation in clinical practice, this infectious disease may have developed due to a cluster of predisposing factors that favored Clostridium botulinum colonization and the endogenous production of neurotoxins, among which are previous use of broad-spectrum antibiotics and colon changes related to the development of the neoplasia. This case highlights the importance of considering intestinal toxemia botulism in the differential diagnosis of a patient presenting with symmetrical descending flaccid paralysis, since immediate treatment with botulinum antitoxin may improve clinical outcomes. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-09-13 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rimtsp/article/view/162236 10.1590/s1678-9946201961049 |
url |
https://www.revistas.usp.br/rimtsp/article/view/162236 |
identifier_str_mv |
10.1590/s1678-9946201961049 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rimtsp/article/view/162236/156090 https://www.revistas.usp.br/rimtsp/article/view/162236/156091 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2019 Revista do Instituto de Medicina Tropical de São Paulo info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2019 Revista do Instituto de Medicina Tropical de São Paulo |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/xml |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo |
publisher.none.fl_str_mv |
Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo |
dc.source.none.fl_str_mv |
Revista do Instituto de Medicina Tropical de São Paulo; Vol. 61 (2019); e49 Revista do Instituto de Medicina Tropical de São Paulo; Vol. 61 (2019); e49 Revista do Instituto de Medicina Tropical de São Paulo; v. 61 (2019); e49 1678-9946 0036-4665 reponame:Revista do Instituto de Medicina Tropical de São Paulo instname:Instituto de Medicina Tropical (IMT) instacron:IMT |
instname_str |
Instituto de Medicina Tropical (IMT) |
instacron_str |
IMT |
institution |
IMT |
reponame_str |
Revista do Instituto de Medicina Tropical de São Paulo |
collection |
Revista do Instituto de Medicina Tropical de São Paulo |
repository.name.fl_str_mv |
Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT) |
repository.mail.fl_str_mv |
||revimtsp@usp.br |
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1798951652579868672 |